| NPI | 1306016878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORINA G DELFIERRO Owner 253-344-1938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 750597) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2011-08-11 |